A treatise on the diseases of the heart, and great vessels / by R.J. Bertin ; edited by J. Bouillaud ; translated from the French, by Charles W. Chauncy.

Date:
1833
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the diseases of the heart, and great vessels / by R.J. Bertin ; edited by J. Bouillaud ; translated from the French, by Charles W. Chauncy. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    176/500 (page 132)
    singular case of dissected aneurism of the aorta is the only one with which we are acquainted.^ We have only found infiltrations circumscribing ulcers of the aorta, or surrounding clefts produced in the manner above mentioned. At the opening of the body of George II., king of England, Nicholls observed a si- milar accident. The aorta presented a transverse fissure, about an inch and a half long, through which a little blood had quite recently passed under the ex- ternal coat, and formed an elevated ecchymosis.f M. Hodgson has also made the same observation. It is in general in the transverse direction that the coats of the aorta are destroyed: it may, nevertheless, be longitudinal or circular. The cases in which aneurism has been produced in the mode described, have been very numerous. We may consult, in this respect, the researches of Lancisi, Guatani, Morgagni, Desault, Warner, Scar- pa, Home, Hodgson, &c. t 4. Of Mixed Aneurism. Pathologists understand by this term an affection which consists in a dilatation of the arterial parietes, followed by rupture, and epanchement or effusion of a certain quantity of blood beneath the cellular mem- brane, which it distends to the form of a sac. As its name indicates, it is a combination of the t7'ue and false aneurism of authors. A great number of aneurismal tumours are formed in the following manner: The parietes begin to undergo a dilatation, in which all 4 Auscult. Med. tome IT. p. 411. I Philo.sopliical Transactions, &c. vo]. LIT. p. 269.